SU1286201A1 - Method of treatment of traumatic injures of joints - Google Patents
Method of treatment of traumatic injures of joints Download PDFInfo
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- SU1286201A1 SU1286201A1 SU843724530A SU3724530A SU1286201A1 SU 1286201 A1 SU1286201 A1 SU 1286201A1 SU 843724530 A SU843724530 A SU 843724530A SU 3724530 A SU3724530 A SU 3724530A SU 1286201 A1 SU1286201 A1 SU 1286201A1
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- USSR - Soviet Union
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- treatment
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- ultrasound
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- 238000000034 method Methods 0.000 title claims abstract description 16
- 230000000472 traumatic effect Effects 0.000 title 1
- 208000014674 injury Diseases 0.000 claims abstract description 9
- 208000027418 Wounds and injury Diseases 0.000 claims abstract description 8
- 230000006378 damage Effects 0.000 claims abstract description 8
- 238000002604 ultrasonography Methods 0.000 claims abstract description 8
- 230000001154 acute effect Effects 0.000 claims 1
- 230000008736 traumatic injury Effects 0.000 claims 1
- 239000012634 fragment Substances 0.000 abstract description 5
- 210000000988 bone and bone Anatomy 0.000 abstract description 3
- 239000003814 drug Substances 0.000 abstract description 2
- 238000000554 physical therapy Methods 0.000 abstract description 2
- 210000003423 ankle Anatomy 0.000 description 3
- 210000000544 articulatio talocruralis Anatomy 0.000 description 3
- 208000003044 Closed Fractures Diseases 0.000 description 2
- 206010023204 Joint dislocation Diseases 0.000 description 2
- 238000003745 diagnosis Methods 0.000 description 2
- 210000003414 extremity Anatomy 0.000 description 2
- 210000002683 foot Anatomy 0.000 description 2
- 210000003127 knee Anatomy 0.000 description 2
- 210000000629 knee joint Anatomy 0.000 description 2
- 210000004417 patella Anatomy 0.000 description 2
- 238000009210 therapy by ultrasound Methods 0.000 description 2
- 229920004934 Dacron® Polymers 0.000 description 1
- 206010030113 Oedema Diseases 0.000 description 1
- 240000008042 Zea mays Species 0.000 description 1
- 235000005824 Zea mays ssp. parviglumis Nutrition 0.000 description 1
- 235000002017 Zea mays subsp mays Nutrition 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 235000005822 corn Nutrition 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 229910052602 gypsum Inorganic materials 0.000 description 1
- 239000010440 gypsum Substances 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 238000002559 palpation Methods 0.000 description 1
- 235000019271 petrolatum Nutrition 0.000 description 1
- 239000011505 plaster Substances 0.000 description 1
- 239000005020 polyethylene terephthalate Substances 0.000 description 1
- 238000000527 sonication Methods 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 210000002303 tibia Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H23/00—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
- A61H23/02—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive
- A61H23/0245—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive with ultrasonic transducers, e.g. piezoelectric
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- Health & Medical Sciences (AREA)
- Epidemiology (AREA)
- Pain & Pain Management (AREA)
- Physical Education & Sports Medicine (AREA)
- Rehabilitation Therapy (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
Изобретение относитс к области медицины , а именно к физиотерапии. Цель изобретени - сокращение сроков лечени . После репозиции костных отломков в первые 3-7 дней после травмы на суставные поверхности воздействуют ультразвуком в импульсном режиме по лабильной методике. Курс лечени - 10-12 процедур. При этом первые три процедуры имеют продолжительность по 6 мин, длительность импульса 2 м/с. Следующие три процедуры провод т в течение 6 мин, длительность импульса 4 м/с, остальные процедуры - по 10 мин, длительность импульса та же. 2 табл.This invention relates to the field of medicine, namely physiotherapy. The purpose of the invention is to reduce the duration of treatment. After reposition of bone fragments in the first 3-7 days after injury, the articular surfaces are exposed to ultrasound in a pulsed mode by a labile procedure. The course of treatment is 10-12 procedures. In this case, the first three procedures have a duration of 6 minutes, a pulse duration of 2 m / s. The following three procedures were performed for 6 minutes, the pulse duration was 4 m / s, the remaining procedures — 10 minutes each — the pulse duration was the same. 2 tab.
Description
гоgo
00 О) N500 O) N5
Изобретение относитс к медицине, а именно к физиотерапии в травматологии и ортопедии .This invention relates to medicine, in particular to physiotherapy in traumatology and orthopedics.
Цель изобретени - сокращение сроков лечени за счет того, что воздействие ультразвуком провод т на 3-7-й день после получени травмы.The purpose of the invention is to reduce the duration of treatment due to the fact that exposure to ultrasound is carried out on the 3rd-7th day after injury.
Способ осуществл ют следующим образом .The method is carried out as follows.
После репозиции костных отломков консервативным или оперативным путем, котора достигаетс в первые 3-7 дней после травмы, на суставные поверхности воздействуют ультразвуком в импульсном режиме по лабильной методике пол ми размером от 2 до 200 см в зависимости от величины сустава . Контактной средой при проведении ультразвуковой терапии служит вазелиновое масло. При воздействии используют ультразвук мощностью 0,4-0,5 Вт, интенсивностью 0,05-0,4 Вт/см, длительностью импульса 2- 4 м/с, скважностью 10,5 в течение 6-10 мин, 10-12 процедур на курс лечени . При этом первые три процедуры имеют продолжительность по б мин, длительность импульса 2 м/с, следующие три процедуры, также по 6 мин, длительность импульса 4 м/с, остальные процедуры по 10 мин,After reposition of the bone fragments in a conservative or operative way, which is achieved in the first 3-7 days after injury, the articular surfaces are exposed to ultrasound in a pulsed mode using a labile technique with a floor size of 2 to 200 cm, depending on the size of the joint. The contact medium for ultrasound therapy is petroleum jelly. When exposed, ultrasound with a power of 0.4-0.5 W, an intensity of 0.05-0.4 W / cm, a pulse duration of 2–4 m / s, a duty cycle of 10.5 for 6–10 min, 10–12 procedures is used. for a course of treatment. At the same time, the first three procedures have a duration in minutes, a pulse duration of 2 m / s, the following three procedures, also for 6 minutes each, a pulse duration of 4 m / s, the remaining procedures for 10 minutes,
длительность импульса 4 м/с.pulse duration 4 m / s.
Пример 1. Больна , 34 лет, поступила в первые сутки после травмы. Диагноз: закрытый перелом обеих лодыжек и заднего кра левой больщеберцовой кости со смещением отломков и подвывихом стопы кнаружи. Объективно: отмечена деформаци первого голеностопного сустава с подвывихом стопы кнаружи. Выраженна отечность в этой области. Пальпаци места повреждени резко болезненна. Функци левогоExample 1. Ill, 34 years old, was admitted on the first day after injury. Diagnosis: closed fracture of both ankles and posterior edge of the left tibial bone with displacement of fragments and subluxation of the foot outwards. Objective: marked deformity of the first ankle joint with subluxation of the foot outwards. Severe puffiness in this area. The palpation of the injury site is sharply painful. Left function
голеностопного сустава резко ограничена. В день поступлени больную оперировали , произвели открытую репозицию и метал- лоостеосинтез обеих лодыжек и заднего кра больщеберцовой кости. Иммобилизацию конечности осуществили гипсовой щиной.ankle joint sharply limited. On the day of admission, the patient was operated on, performed open reposition and metal osteosynthesis of both ankles and the posterior edge of the tibia. Immobilization of the limbs carried out a gypsum shell.
По сн тии операционных щвов (на 7-е сутки после операции) провели лечение ультразвуком , лабильной методикой в импульсном режиме.After removal of the operating sciovas (on the 7th day after the operation), they were treated by ultrasound using a labile technique in a pulsed mode.
ГоленоПосле проведенного лечени ультразвуком больна жалоб не предъ вл ла. Отека в области голеностопного сустава не было. Активные движени в голеностопном суставе восстановлены в полном объеме. Примен ли лечебную гимнастику и массаж. Через три недели после операции на рентгенограмме отмечено эндостальное мозолеоб- разование. Больна выписана на амбулаторное лечение без иммобилизации.Goleno After ultrasound treatment, the patient had no complaints. Edema in the ankle area was not. Active movement in the ankle joint restored in full. Applied therapeutic exercises and massage. Three weeks after the operation, an endosteal corn-formation was observed on the roentgenogram. The patient was discharged for outpatient treatment without immobilization.
Разрещена нагрузка на оперированную конечность. Длительность пребывани в стационаре 25 койко-дней.Load on the operated limb is forbidden. The duration of hospital stay is 25 bed-days.
Пример 2. Больной, 44 лет, поступил в первые сутки после травмы (упал, удаТаблица 1Example 2. Patient, 44 years old, was admitted on the first day after injury (fell, udTable 1
ривщись коленом). Диагноз: закрытый перелом левого надколенника с расхождением отломков. Объективно: левый коленный сустав увеличен в объеме. Пальпаци надко5 ленника болезненна. Функци сустава ограничена .kneeling knee). Diagnosis: closed fracture of the left patella with a breakage of fragments. Objectively: the left knee joint is enlarged. Palpatsi perfoot is painful. The function of the joint is limited.
На чертвертые сутки после поступлени больного оперировали, произвели открытую репозицию отломков и сщивание надколенника лавсановой нитью. Иммобилизаци ко0 нечности проведена задним гипсовым ложем. После сн ти операционных швов (на седьмые сутки) провод т лечение ультразвуком лабильной методикой в импульсном режиме .On the fourth day after admission the patient was operated on, an open reposition of the fragments was performed and the patella was crushed with a dacron thread. Immobilization of finiteness was performed with a posterior plaster bed. After removal of the surgical sutures (on the seventh day), ultrasound treatment is carried out using a labile technique in a pulsed mode.
КоленПосле лечени ультразвуком контуры коленного сустава были четкими, выпота в суставе нет. Амплитуда активных движений 90°. Жалоб больной не предъ вл л. Через две недели после операции рентгенологически отмечены начальные признаки эндостального мозолеобразовани . Длительность пребывани больного в стационаре была 32 койкоДНЯ .The knees. After sonication, the contours of the knee joint were clear, there was no effusion in the joint. The amplitude of active movements is 90 °. Complaints the patient did not claim l. Two weeks after the operation, the initial signs of endosteal corn formation were radiologically marked. The patient stay in the hospital was 32 bed days.
Дальнейшее восстановительное лечение проводилось в амбулаторных услови х. Че- р ез три мес ца после травмы была восстаТаблица 2Further restorative treatment was carried out on an outpatient basis. Three months after the injury was restored Table 2
новлена функци сустава и трудоспособность больного.The function of the joint and the ability of the patient to work.
Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU843724530A SU1286201A1 (en) | 1984-04-10 | 1984-04-10 | Method of treatment of traumatic injures of joints |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU843724530A SU1286201A1 (en) | 1984-04-10 | 1984-04-10 | Method of treatment of traumatic injures of joints |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| SU1286201A1 true SU1286201A1 (en) | 1987-01-30 |
Family
ID=21112790
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| SU843724530A SU1286201A1 (en) | 1984-04-10 | 1984-04-10 | Method of treatment of traumatic injures of joints |
Country Status (1)
| Country | Link |
|---|---|
| SU (1) | SU1286201A1 (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO1991012772A1 (en) * | 1990-02-23 | 1991-09-05 | Cygnus Therapeutic Systems | Ultrasound enhanced delivery of materials through skin |
-
1984
- 1984-04-10 SU SU843724530A patent/SU1286201A1/en active
Non-Patent Citations (1)
| Title |
|---|
| Сафиулина С. И. и др. Лечебное применение ультразвука: Методические указани . - М , 1969, с. 5-7. * |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO1991012772A1 (en) * | 1990-02-23 | 1991-09-05 | Cygnus Therapeutic Systems | Ultrasound enhanced delivery of materials through skin |
| US5115805A (en) * | 1990-02-23 | 1992-05-26 | Cygnus Therapeutic Systems | Ultrasound-enhanced delivery of materials into and through the skin |
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